Electrolyte
Alkalinizing agent/buffer
ACP: Known or suspected hyperkalemia
ACP: Tricyclic or salicylate overdose
ACP: Suspected or confirmed metabolic acidosis
ACP: Pre-treatment prior to weight release in crush injury
ACP: All indications
ACP: All indications
Vial: 1 mEq/mL (50 mEq in 50 mL vial of 8.4% solution)
Buffers or neutralizes excess acid (specifically, excess hydrogen ions) raising overall pH.
Intravenous:
Administration of sodium bicarbonate may paradoxically worsen metabolic acidosis if minute ventilation is insufficient. Consider overall physiological state when selecting ventilation strategy.